? regarding SC

Did she die in your facility? If so, code the MDS "Death in Facility" this will be a tracking MDS only.

If she was on Medicare, must code the MDS a "5 day/Death in Facility", this will be a 5 assessment only to satisfy Medicare requirements.

If she died in your facility 9/4, then that is the date you use.

No CAAS needed. :)

Doesn't it have to be a SC since she was new to hospice?

Yes....if she would not have died on day 4 of her stay....remember, you have 14 days to complete a sig change.

Thank-you for your answers. That is what I thought but was being told differently.

I'd like to make one correction/clarification. Technically, you would do a readmission/death in facility, not a 5-day/death in facility. I know they are essentially the same assessment but it is a different code in A0310B.

A "death in facility" may not be combined w/ any type of assm't.

"Readm/Return" only applies when resident was covered under Med A when hospitalized, d/c return anticipated, returns within 30 days and continues on Med A.

When hospice is elected, Medicare/PPS assm'ts are only required if the resident is skilled for a condition unrelated to the terminal condition.

Oops, yep, I guess I assumed they were skilled before the hospital visit. I must have invented that in my head.

I was taught becoming a hospice resident was a sig change, but as bella said, you have 14 days to do one.

i believe you could combine a readmission and a discharge. under the question discharge destination you could put expired. of course a reentry prior.

great questions and replies. i always learn so much here. andy, i love that you invent things in your head. i do that all the time and am certain that i got it "somewhere"

Talino is correct. The resident died in facility so a Death in Facility is due and it cannot be combined with the Readmission; a Discharge - Return Not Anticipated is inappropriate for a death in facility.

My hat is off to you folks who can remember and understand all of these forms and assessments and when to do them. It seems as clear as mud to me!